Acral lentiginous melanoma: a skin cancer with unfavourable prognostic features. A study of the German central malignant melanoma registry (CMMR) in 2050 patients

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Details zur Publikation

Autor(en): Teramoto Y, Keim U, Gesierich A, Schuler G, Fiedler E, Tueting T, Ulrich C, Wollina U, Hassel JC, Gutzmer R, Goerdt S, Zouboulis C, Leiter U, Eigentler TK, Garbe C
Zeitschrift: British Journal of Dermatology
Jahr der Veröffentlichung: 2018
Band: 178
Heftnummer: 2
Seitenbereich: 443-451
ISSN: 0007-0963


Abstract

BACKGROUND: Acral lentiginous melanoma (ALM) is one of the four major subtypes in cutaneous melanoma (CM). Although ALM has a poorer prognosis than other CM subtypes, the prognostic factors associated with ALM have only been verified in small-sized cohorts because of the low incidence of ALM worldwide.
OBJECTIVES: To investigate the clinical characteristics of ALM and to evaluate their prognostic values based on a large dataset from the Central Malignant Melanoma Registry (CMMR) of the German Dermatologic Society.
METHODS: The Kaplan-Meier method was used to estimate the potential influence of clinical and histological parameters on ALM disease-specific survival (DSS) curves, which were compared using the log-rank test. A Cox proportional hazards model was used to identify independent prognostic factors for DSS.
RESULTS: In total, 2050 patients with ALM were identified from 58 949 patients with CM recorded by the CMMR with follow-up data. In multivariate analyses, age (P = 0·006), ulceration (P = 0·013), tumour thickness (P < 0·001) and tumour spread (P < 0·001) turned out to be significant prognostic factors for DSS in ALM whereas sex, nevus association and level of invasion were not independent factors.
CONCLUSIONS: ALM has the same prognostic factors as other subtypes of melanoma. Unfavourable prognosis probably derives from the delay in diagnosis in comparison with other melanoma subtypes.


FAU-Autoren / FAU-Herausgeber

Schuler, Gerold Prof. Dr.
Lehrstuhl für Haut- und Geschlechtskrankheiten


Autor(en) der externen Einrichtung(en)
Charité - Universitätsmedizin Berlin
Hannover Medical School / Medizinische Hochschule Hannover (MHH)
Krankenhaus Dresden-Friedrichstadt, Städtisches Klinikum
Medizinische Hochschule Brandenburg Theodor Fontane / Brandenburg Medical School Theodor-Fontane
Universitätsklinikum Halle (Saale)
Universitätsklinikum Heidelberg
Universitätsklinikum Magdeburg A.ö.R.
Universitätsklinikum Mannheim
Universitätsklinikum Tübingen
Universitätsklinikum Würzburg


Zitierweisen

APA:
Teramoto, Y., Keim, U., Gesierich, A., Schuler, G., Fiedler, E., Tueting, T.,... Garbe, C. (2018). Acral lentiginous melanoma: a skin cancer with unfavourable prognostic features. A study of the German central malignant melanoma registry (CMMR) in 2050 patients. British Journal of Dermatology, 178(2), 443-451. https://dx.doi.org/10.1111/bjd.15803

MLA:
Teramoto, Y., et al. "Acral lentiginous melanoma: a skin cancer with unfavourable prognostic features. A study of the German central malignant melanoma registry (CMMR) in 2050 patients." British Journal of Dermatology 178.2 (2018): 443-451.

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Zuletzt aktualisiert 2018-16-10 um 00:08